关键词: 幼年性类风湿性关节炎, 心理行为问题, 影响因素, Feetham 家庭功能量表, Achenbach儿童行为量表, 儿童

Abstract: Objective To describe psychosocial behavior problems and family function of children with juvenile rheumatoid arthritis (JRA), and to explore the risk factors of behavioral problems,in order to provide scientific basis for family-oriented intervention. Methods Totally 56 children diagnosed with JRA and their parents in the Fifth Hospital of Xi′an were selected as the case group from June 2013 to June 2014.And 52 health children were as the control group.Caregivers were asked to fill out the Child Behavior Checklist (CBCL) and Feetham Family Functioning Survey (FFFS) during the hospitalization of children.Psychosocial behavior problems and family function of the case group and control group were analyzed and compared. Results JRA children had higher scores on introverted factors、extrovert factors and behavior problems than healthy children, and their social capacity and school performance were also worse than those of healthy children(P<0.05).Compared with healthy family, three subscales of FFFS(1.30±0.79,1.21±0.68,2.20±1.10) and the total d score(1.60±0.67)in JRA children were significantly higher than those of normal family(0.98±0.32,0.79±0.31,0.93±0.37) and 0.90±0.31(P<0.05).Meanwhile, the function, structure and economic status had obvious effect on behavioral problems in children. Conclusion Behavioral problems in JRA children are prevalent, leading to the impact of family function.And family function will in turn affect the diagnosis and treatment of children.So it is necessary to assess family-related factors and develop family-oriented interventions in order to improve children′s psychosocial function and the normalcy of their families.

Key words: juvenile rheumatoid arthritis, psychosocial behavioral problem, risk factors, Feetham Family Functioning Survey, Child Behavior Checklist, children